Brock Wilson — ADJ18946915

Applicant Brock Wilson, a truck driver, sustained an admitted industrial injury to his right shoulder on November 20, 2023, resulting in a massive rotator cuff tear requiring surgery. The WCJ awarded 22% permanent disability based on QME chiropractor Dennis J. Moore, D.C.'s report, which combined range of motion impairment, strength loss impairment, and an Almaraz/Guzman 'other disorders' rating analogous to a distal clavicle resection (Table 16-7) even though applicant never underwent that procedure. Defendant sought reconsideration, arguing the strength loss rating was improper, that the 'alternative' clavicle resection rating lacked substantial medical evidence, and that it should have replaced rather than supplemented the other ratings. The Board denied reconsideration, adopting the WCJ's Report, finding that the QME adequately explained under Guzman why the standardized ratings did not capture applicant's ADL impairments and that resection arthroplasty ratings may be combined with loss of motion ratings under the AMA Guides (p. 505).